Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Analyzing socioeconomic related health inequality in mothers and children using the concentration index

(2014) Analyzing socioeconomic related health inequality in mothers and children using the concentration index. Epidemiology Biostatistics and Public Health.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Background: We measured socioeconomic status using an asset index and defined 16 health related outcomes. The inequality in the distribution of these health outcomes by socioeconomic status was examined using concentration index. Methods: This cross-sectional study was conducted in 2012 in Hamadan City, the west of Iran, on 1400 households enrolled through a stratified cluster random sampling method. The effect of inequity on health outcomes was investigated via a three-stage procedure including: (a) definition of health outcomes; (b) measuring socioeconomic status using an asset index; and (c) measuring inequality of health outcome using concentration index. Results: There was inequality for all outcomes of interest. The prevalence of low birth weight, underweight, stunting, wasting, minor injuries, moderate injuries, consanguineous marriage, children with disability, short birth spacing, and adolescent pregnancy was disproportionately more common among the poor. On the other hand, the prevalence of preterm birth, nonexclusive breastfeeding, severe injuries, incomplete health care, cesarean section, and advanced maternal age was disproportionately more common among the rich. Conclusions: According to our results, there is a health inequality between the poor and the rich subgroups which may increase the risk of mothers and infant mortality and morbidity rates among the poor while the majority of the conditions related to the health outcomes are preventable. © 2014 Prex S.p.A. All right reserved.

Item Type: Article
Keywords: Child; Health status disparity; Inequality; Mother; Socioeconomic factors
Page Range: e9086-1-e9086-10
Journal or Publication Title: Epidemiology Biostatistics and Public Health
Volume: 11
Number: 3
Publisher: Prex S.p.A.
Identification Number: 10.2427/9086
ISSN: 22820930
Depositing User: مهندس جمال محمودپور
URI: http://eprints.muk.ac.ir/id/eprint/1019

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